Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $14.07	Facility		$6.31	$6.31	$14.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.55 / $7.89	Professional		$6.31	$6.55	$7.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $6.59	Professional		$6.58	$6.58	$6.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.80 / $6.71	Facility		$1.12	$1.80	$6.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $6.71	Professional		$0.75	$0.94	$6.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.67 / $7.89	Facility		$0.67	$0.67	$7.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $6.91 / $100.00	Facility		$0.67	$6.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $6.58 / $8.55	Professional		$1.18	$6.58	$8.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $58.40 / $85.00	Professional		$2.36	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.67 / $7.89	Facility		$0.67	$0.67	$7.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $85.00 / $100.00	Facility		$6.71	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.84 / $1.30	Professional		$0.71	$0.84	$1.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.58 / $8.55	Professional		$5.92	$6.58	$8.55